HomeMy WebLinkAbout20166814 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 Pin #:7
Project Address: 2501 W Strawberry Ln Unit:
Block: NA
Bldgl
Tract: l35l
Address Range:
Historic: No
Suite Range:
Zoning: R1
E
Assessor'sParcel: 101-122-19 Lot: 54
Owner:
Address:
Cai Van Khiem
2501 W Strarvberry Ln
Santa Ana, CA 92706
(310) s70-7866
Fee Type Qry Fee
Phone
Tenant Name:
Contractor
Address:
Nexus Energy
2810 Harbor Blvd., #201
Oxnard, CA 93035
(805) 748-5950Phone
State Lic #: 359060
Lic Type; B
Bus. Lic #: 347311
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 9032458
Expires: 1'll0ll201a
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Solar
Solar
Occupancy:
Constr Type
Code:
R.3, U
VB
cEc 2016 Notes lnstall roof mounted solar panels. Per Expedited
Permit Process For PV Systems Standard String
System. Fees paid on 10197566.
Planning Conditions:
Planning Approval By Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By
Permal lssued By Teri 08/30/2018
Account#Subject to Field:
Building Permit 197 66 $0 00
$0.00
$0.00
Every pemit issued shall become invalid unless the wo* on the site
authotized by such permit is commenced within 1 E0 days aftet ils
issuance, or if lhe wo* authoized on the site by such permit is suspended
ot abandoned lgt a pedod of 1 80 days after the tirne the wotu is
cofifienced-
201668t 4
MID#: 2018-145783
Fee Total:
Paid to Date:
Balance Due:
Amount
lnspector
ELECTRICAL-INSPECTOH RECORD
COMMENTSAPPROVALSDATEID/SIG.
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Satety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundinq / UFER /1-9/8 ,'/L,7/
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Solfit Rouoh
Ceilings (T-Bar Rouoh)
Meter Release // Q ,O Zx-z-
Rouqh /'7- -Service lVleter //-,<d'Ta t/{ .--
FINAL //4 /g Zz-7
Notes, Remarks, Etc
OWNER BUII,DER DELCAIIATIiJN
, hcr.by iln.n ud.r pcMlry of lcrrury lhar l ofl cxonnt fm.r rhe Contacror' l-iens. ljw itr rh. adlr*in8 Eron (sc.70ll 5
Dusin€s lod Pmfe$ion Codc): ,{., cny or cou.ry *hkh hquncs t tEmir ro consrrud, !lts, inprovc. d.tuli\h .r rur,n ony
ntucr@. rtritrro iri isud.e. .ho rcquircs rhc {pltanr hr such pcrmn h fih ! si8n.d $atm.l rhar hd or shc ir liccn\cd Nronnr
ro rhc povisn,s ol thc ConrEcrols Liccnrd ljw (Chaprcr 9- Co.uf,ftin8 wilh Scclion 7Ol) of Di,ision:1 otrhc Bxsirr$ and
PmlcssionsCodc)orrh,r lEor\h. k cxcmpt rh.rcrtundd rho b3rn ior rhc ollcscd crcnu,lion. Anylk,larionors.dionT0ll.5byany
dprri.,nr fu,pcrnir subjehrhc lrplicont ro acivilrcnalryofnor mnerhsn fivc hundrcddollrsl$Joo)
-1.
!s owncrolrhe rrcFny. or ny dorlort.s wirh wtrg.s ar rhcir tuh.om|rcnvrn'n. willdo rrE woll mt !h. stmturc is nol
intcRleil or olTc[d for *rk (S( 70.1,1. Ausircs dnd ftofe$ions Conc: l he C{n rrck, 1 l-i.c sc tiq docs nol alplr ro an o$icr ol
lh.Fmtdy wlr huilds or in{,n,vc\ rhcbn, rxl {h) di$st.h $(trk hinNlror hcrclror lhtouah hh ot hc' osn.mployccs.
p'ovidcd rhrr \uch inrln)lcmnh d R i.rc'rd.d or ofcnn tbr sL ll howcrr. lhc tuiklin8 or iDrpmvrmnr is \.ld wilhin
'
{r yrdr
olconphtidr. rhcOwncr Buiklcr will horc rhc budcn ofpDvinB rhll hc or she did nor ltrrih or inrrevc rhc Prop.ny li)r ihc Pn,Tne of
L.sowncroflhctmocny..nexclusiv.lyconrracrinswirhliccn\ed.o.rh.'osrosn{rudth.ptr'jcr(S.{ 7044, suvRs
rnd l\olissbn C{vlc: l'hcContr.ror's Liccnsc Laq docs nor.tplyto nnowncrollropc ywtu) huildr.r imlrorcs rhcrcon.
trtrd *ho conrrBcrs for so.h pn,jeh whh ! cd ruck G) li.ctrscd lunuinr lorhc Conrrucrofs l-icc.sc Ltr*).
I n ,.xr rj, ui .r Sc.ii,)
Dule:_ OrDe.:
wonxrn-s crrrrrpeil,rlior.r
ITES,A&IIIQN
I hcrcl,y arfirm nndcr Fnahyolllrturyorc oilhc lollowin8 dr.^laralioh\l
-l
hlvc undwill moint,in dC.nifi.ricorconsc ro Sclf-lnsurc for workc^ dn.prns n,n,ds piovidcdfor6ySccrnnlTO0oflh.
htitr Codc. fn lhc pFfornunccofrhc wo* ror whichrhcrEmir is hsu.d.
I hav. xn *ill mainrain wo.kcrC conDc.rarion insurorcc..s r.quiEd by S*rion l7m oilh. tjhor (ldc- lor thc p.rfonuftc of
rrr *ork for which rhis pcmil is issued. Myworkcr( comNnsrlion inu.amc.ri$ Ip.ltyDunrt'$m:
PolicyNumtEr-
l.cdiiy ih0r in rhc lcrloirnancc olrhc work for which rht lcrdir k is$ucJ.l shall nor crDkry uny pcron i. any mmrcr
s 6 lo h.conrc srbF.r b lll. work!^ .omrcnsarnr hws ofcllifuni{- snd rsc thar ifI sbuld bdom srhrccl ro rhc
{b*e^'codpcnsario.p$lisiotriofsalion37(rofth.tntnrC c.I shall. ronnwirl mnpl, wirh rh.c ,mvhion\
lv RNlNc l;rilrc n' $urc *nkcri conr.n tu|. d shlll \lhjccr an cmpk)tcr b onnirrl Fmhies od
.i!il fifcs up lo om hundrcd I to rhe co{ oI co'npcnurn,n. dr DBcs as lrcvidcd tu rhc
;:l?;'-[i'"-
!I( t,,\I,\t to\
t hcrcby,flirmundfi pcnrllyolrrcrjur,lhar I ur liccnsd xodcr p$visiotr orChtrltq 9 (conmencins sirh scdtun 70lo) olDivision l
ot rhc Busincisdnd Pm|cs*,nsCod., &n my liccDsc is in fullfore und ciTcct
o D
7,/t, /t
I hcrcby arfirmxnd.r Fn,lryofpcrjury lhst lhelc is a (
iss cd (Sc. :l(,97, Civ. C )
n'.riotr [.nd F rlrn(! t,rrhc DcrloiinrN.,,trhcsork ntr shtlrr,] \ ttnn{ i\
APPI ICANTI}F(:I ARAT(TN
I hctriy rmnn undcr pcnrlty oiperrury onc oflhe follo*i.E declararioit:
Dcmlirion Pemits Asb.dor N.(ilr..lnn Fcdcnl Rc8ul.r ions lTnb .l0- l'un6)
_Rcqrn d lrirdof Nolilicarbn
'cnn,qlrr io!rt'!licrhlc ro lhi\ [,lccr
,'c^/.,
iion iscorel. I qrlo comPly
)rn. EpEsnl3tivcs of $n Cny
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